ACA Magnifying Glass By one estimate, premiums on the federal marketplace have risen 71 percent, while premiums on state exchanges increased by 40 percent. (Photo: Getty)

After a very rocky rollout of a number of state exchanges in 2013 when the Affordable Care Act marketplaces first became effective, policymakers in six states believe they can now piggyback on the successful ones – as well as leverage the latest technology — to launch their own state exchanges.

Maine is one of them, working to launch its exchange in 2021, Jeanne Lambrew, commissioner of the state's Department of Health and Human Services tells Stateline.

"A lot of kinks have been worked out, and the ability to set up marketplaces that run effectively and efficiently has gone up," Lambrew says. "We know much more now than states knew back in 2013."

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Katie Kuehner-Hebert

Katie Kuehner-Hebert is a freelance writer based in Running Springs, Calif. She has more than three decades of journalism experience, with particular expertise in employee benefits and other human resource topics.